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New Hampshire rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.38 / $461.38 / $553.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.44 / $358.02 / $494.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.40 / $819.40 / $971.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.72 / $373.72 / $392.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $482.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.43 / $663.43 / $2,047.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.52 / $408.79 / $485.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.71 / $675.08 / $859.19